perioprative evolve Flashcards

1
Q

after gag reflex return what can you give

A

Ice chips and oral fluids

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2
Q

Patients remain NPO until

A

gag reflex returns

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3
Q

An incentive spirometer is used to

A

encourage deep inhalation

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4
Q

Data concerning safety events that occur in surgery are reported to TJC

A

wrong-patient, wrong-procedure, and wrong-site surgeries; and unintended retention of foreign objects

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5
Q

who is responsible for informed consent

A

physician

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6
Q

Before consent is obtained, the patient is given a description of the

A

surgical procedure, benefits, risk factors, potential complications, expected outcome, and postoperative recovery by the surgeon

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7
Q

in case of emergencies

A

you can get consent from next of kin or legal guardian

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8
Q

Witnessing a consent form means

A
  • The nurse has watched the correct patient signing the form.
  • The nurse has verified the correct identity of the patient who is signing the form.
  • The nurse signs the form as a witness to the preceding two events.
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9
Q

alteration depends on the individual patient’s

A

physical and emotional state

the type of surgery and anesthesia used

patient’s individual risk factors

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10
Q

Moderate sedation also known as

A

conscious sedation

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11
Q

Moderate sedation provide

A

state of calm or reduced anxiety

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12
Q

Major operations are performed under

A

general anesthesia

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13
Q

Stages of General Anesthesia

A

Analgesia

Excitement

Surgical anesthesia

Medullary paralysis

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14
Q

Analgesia

A

Patient is awake, becomes drowsy, and loses consciousness
Experiences analgesia or a loss of pain sensation

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15
Q

Excitement

A

Begins with loss of consciousness
Excitement of muscles
Involuntary movement
Muscles become tense
Breathing may be irregular
Ends with regular breathing and loss of eyelid reflexes

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16
Q

Surgical anesthesia

A

Vital signs and reflexes are depressed
Skeletal muscles relax
Breathing is regular
Operation begins

17
Q

Medullary paralysis

A

Respiratory centers in the medulla oblongata of the brain, which control breathing and other vital functions, cease to function
Complete respiratory depression
Cardiopulmonary resuscitation (CPR) needed
Death can occur

18
Q

Hemorrhage is

A

large amount of bleeding

19
Q

hemorrhage can occur in

A

immediate postoperative period from internal or external blood loss

20
Q

During the postoperative phase, hemorrhage can occur from

A

weak suture, stress on the surgical site, medications, or a clot that has become dislodged

21
Q

clinical indications of hemorrhage

A

such as anxiety; restlessness; cold, clammy skin; a weak, thready, rapid pulse; hypotension; respirations that are rapid and deep; increased thirst; and decreased urine output

22
Q
A